Author: Dr Clemens

Uncategorized Published - 14 March, 2023    By - Dr Clemens
Cannabis Users May Use Less Pain Medication 2023

Author: Heidi Splete Pract Pain Manag. 2023 March/April;22(2). FDA is creating a regulatory pathway for safe cannabidiol products, but more research is needed considering that nearly one-third of people with chronic pain report cannabis use. It is well known that people with chronic pain often use cannabis to help relieve pain and related symptoms. However, […]

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Uncategorized Published - 14 March, 2023    By - Dr Clemens
Risk of Neurotoxicity with Multiple General Anaesthetics for Examination Under Anaesthesia in Paediatric Ophthalmology – A Cause for Concern? 2023

by SmartTots Purpose: To evaluate the impact of clinical protocol change via active minimisation on the number of general anaesthetic (GA)/sedation episodes for diagnostic ophthalmic purposes at Children’s Health Ireland at Temple Street (CHI-TS), Dublin, Ireland, from 2016 to 2019, inclusive. Change was implemented following published cautionary principles in 2016 by the FDA regarding the potential neurotoxic […]

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Uncategorized Published - 14 March, 2023    By - Dr Clemens
Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

Authors: Woodworth, Glenn E. MD et al Anesthesia & Analgesia 136(3):p 458-469, March 2023. In this Pro-Con commentary article, we debate the importance of anterior thigh block locations for analgesia following total knee arthroplasty. The debate is based on the current literature, our understanding of the relevant anatomy, and a clinical perspective. We review the anatomy […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
ASRA Guidelines Recommend Screening Patients for Cannabis Use Before Surgery 2023

Author: Bennett K. Pract Pain Manag. 2023 March/April;22(2). The American Society of Regional Anesthesia and Pain Medicine (ASRA) released new guidelines in early 2023 on the management of perioperative patients on cannabis and cannabinoids.¹ Developed in response to the increased use of cannabis and concerns that it potentially can interact with anesthesia and lead to […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
A Consensus-Driven Revision of the Accreditation Council for Graduate Medical Education Case Log System: Pediatric Anesthesiology Fellowship Education

Authors: Ambardekar, Aditee P. MD, MSEd et al  Anesthesia & Analgesia 136(3):p 446-454, March 2023. BACKGROUND: Clinical experiences, quantified by case logs, are an integral part of pediatric anesthesiology fellowship programs. Accreditation of pediatric anesthesiology fellowships by the Accreditation Council of Graduate Medical Education (ACGME) and establishment of case log reporting occurred in 1997 and 2009, […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
Extended-age Out-of-sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claims 2023

Authors: Scott Greenwald, Ph.D. et al  Anesthesiology March 2023, Vol. 138, 264–273. Background The authors previously reported a broad suite of individualized Risk Stratification Index 3.0 (Health Data Analytics Institute, Inc., USA) models for various meaningful outcomes in patients admitted to a hospital for medical or surgical reasons. The models used International Classification of Diseases, Tenth […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
Predictors of treatment-response to acute prescription medications in migraine: Results from the American Migraine Prevalence and Prevention (AMPP) Study. 2023

DG Journal Club AUTHORS: Ali Ezzati, Dawn C Buse, Kristina M Fanning, Michael L Reed Clin Neurol Neurosurg. 2022 Dec; 223 107511 OBJECTIVE To identify predictors of acute treatment optimization with prescription drugs among people with episodic migraine. METHODS A total of 2896 individuals from the American Migraine Prevalence and Prevention study were included in this […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
Intravenous dabigatran provides adequate anticoagulation for cardiopulmonary bypass using a rabbit model 2023

Authors: Sergiy M Nadtochiy, PhD et al  Anesthesiology February 2023. Background– Heparin anticoagulation has been used successfully for cardiopulmonary bypass (CPB). However, an alternative anticoagulant approach is desirable due to the cases of heparin-induce thrombocytopenia. Dabigatran provides anticoagulation for an in-vitro model of simulated CPB. The current analysis tests the hypothesis that dabigatran provides sufficient […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Intercostal Nerve Cryoablation is Associated with Reduced Opioid Use in Pediatric Oncology Patients 2023

DG Journal Club Authors: Stephanie Y Chen, Shale J Mack, James E Stein, Lorraine I Kelley-Quon J Surg Res. 2022 Nov 22; 283 377-384 INTRODUCTION Intercostal nerve cryoablation reduces postoperative pain in adults undergoing thoracotomy and children undergoing pectus excavatum repair. We hypothesize that cryoablation is associated with decreased post-thoracotomy pain and opioid use in […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Shingles linked to 30% increased risk of stroke, coronary heart disease 2023

This is for our readers who treat chronic pain patients Author: Robby Berman MedicalNewsToday Health experts and researchers have long suspected that shingles can lead to stroke and coronary heart disease. New research has found that the association between shingles and cardiovascular events is more significant than previously thought. The long-term study reveals that the […]

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